CostFlex Systems, Inc.

May this Easter season bring hope, reflection, and new beginnings. costflex.com

This year 23.1 million customers selected or re-enrolled in health insurance coverage. In 2025 CMS restarted identifying and removing improper enrollments and nearly 1.5 million people were found to be ineligible or enrolled without their authorization. Compared to 2025, more customers selected bronze or gold plans compared to silver plans with more customers choosing agent or broker assistance.

CostFlex provides accurate cost accounting and reporting at all levels of healthcare. Automate, report, and analyze all your payer contract terms in one, user-friendly interface – even Medicare Outpatient APC payments and state-specific Medicaid.
https://www.cms.gov/files/document/health-insurance-exchanges-2026-open-enrollment-report.pdf

On March 11,2026 the Florida Senate passed HB 4043 to dissolve the Citrus County Hospital Board by September 30. The dissolution was due to a legal dispute with the Florida Health Care Administration over alleged Medicaid over payments.

A Medicaid over payment claim initially cited at $5.9M and later settled for $650K is a reminder that reimbursement accuracy matters. Medicaid payments rely on precise cost reporting. When cost allocation, allowable costs, or cost‑center reporting are misaligned, the result can be over or underpayments, audits, and significant financial risk.

CostFlex payer contracts software helps healthcare organizations connect true cost accounting with payer contract terms so reimbursement is accurate, defensible, and fully documented. Read more about the CostFlex Payer Contracts Solution: https://www.costflex.com/software-products/payer-contract-analyzer/



https://floridapolitics.com/archives/784750-senate-vote-dissolves-citrus-county-hospital-board/
https://www.beckershospitalreview.com/finance/florida-senate-vote-dissolves-hospital-board/

Legislative vote dissolves Citrus County Hospital Board The bill requires the CCHB to adopt a dissolution plan by Sept. 30

In a recent report analyzing claims data for 81 million beneficiaries of Medicare, Medicaid and commercial insurance plans patients that are consuming most of the inpatient care have multiple chronic conditions. The report said that most systems are built for episodic acute care but are now dealing with an aging population with chronic health conditions.

CostFlex provides accurate cost accounting and reporting at all levels of healthcare business to include procedure level, individual patients, and client-defined service lines. Let us know if we can help! www.CostFlex.com

https://www.vizientinc.com/insights/all/2026/the-chronic-care-reckoning-redesign-or-absorb-the-cost

The chronic care reckoning - Redesigning access for an aging, complex population A new Vizient Research Institute study examines how chronic disease growth and shifting payer mix are reshaping utilization, margins and patient loyalty, and why health systems must redesign access around integrated longitudinal care.